Date of Award

12-2025

Degree Type

Dissertation/Thesis

Degree Name

Doctor of Nursing Practice (DNP)

School

Leadership and Advanced Nursing Practice

Committee Chair

Dr. Lakenya Forthner

Committee Chair School

Leadership and Advanced Nursing Practice

Committee Member 2

Dr. Lila de Tantillo

Committee Member 2 School

Leadership and Advanced Nursing Practice

Abstract

Chronic Kidney Disease (CKD) is a progressive condition that distinctively affects underserved rural communities due to limited access to healthcare, provider shortages, and transportation barriers. Chronic Care Management (CCM) has emerged as a patient-centered, initiative-taking approach that emphasizes care coordination and self-management support. The purpose of this doctoral project was to evaluate the impact of implementing a CCM program in Caucasian females over the age of 40 with CKD residing in an underserved rural community post hospitalization. The Chronic Care Model (CCM) is the framework that guides the doctoral project which compared outcomes in patients enrolled in a CCM program with those who were not enrolled in a CCM program over an eight-week intervention period. Findings from the doctoral project are aimed toward a decrease in hospitalizations, improved self-management skills, and an overall improvement in quality of life. By enrolling patients with chronic conditions into a CCM program, it will help bridge the gap in care continuity, ultimately reducing hospitalization rates and improving quality of life in patients with CKD.

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